Thoracic Hyperkyphosis: A Survey of Australian Physiotherapists

Perriman, Diana; Scarvell, Jennie M.; Hughes, Andrew; Lueck, Christian J.; Dear, Keith; Smith, Paul N.

doi:10.1002/pri.529

Cited by 25 publications

(21 citation statements)

References 50 publications

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“…The development of civilization and the contemporary lifestyle are also producing a steady increase in the prevalence of postural defects [2]. Reduction in physical activity and repeatedly exceeding the body's energy needs has an adverse effect on the health and posture of the pediatric population [3]. Postural disorders are often produced by poor habits.…”

Section: Introductionmentioning

confidence: 99%

“…Children with scoliosis have been found to demonstrate more pronounced problems with body balance, reduced response to stimuli and prolonged baseline position recovery time. Abnormal lateral spinal curvatures are particularly dangerous among postural defects; hence, the importance of early diagnosis [3]. The DIERS Formetric system is a non-invasive and objective imaging technique that may be used for assessing body posture.…”

Section: Introductionmentioning

confidence: 99%

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Effect of physiotherapy on spinal alignment in children with postural defects

Zmyślna

Kiebzak

Żurawski

et al. 2019

Int J Occup Med Environ Health

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Objectives: This paper assesses the effect of neurophysiological rehabilitation in children with postural defects on the depth of thoracic kyphosis, lateral spinal deviation and rotation of spinal motor segments. Material and Methods: A total of 201 patients aged 8-15 years old with a postural defect diagnosed by medical examination were enrolled. The analyzed parameters were determined using the DIERS system before the first therapeutic session and after 4 weeks of therapy. The angle of thoracic kyphosis, lateral deviation of the spine and spinal rotation were assessed. The therapy employed techniques associated with the proprioceptive neuromuscular facilitation (PNF) and Vojta's approaches. The results were analyzed separately for both sexes and for patients rehabilitated solely with Vojta's techniques vs. patients rehabilitated according to combined Vojta's and PNF techniques. The χ 2 test was used for statistical analyses, at p < 0.05. Results: There was improvement in the angle of thoracic kyphosis, ranging from 0.14 (among boys with kyphosis < 42°) to 5.47 (among girls with kyphosis ≥ 42°), spinal rotation, from 0.37 (among boys with kyphosis ≥ 42°) to 4.33 (among patients with kyphosis ≥ 42° rehabilitated solely according to Vojta's method), and lateral deviations, ranging from 1.32 mm (among boys with kyphosis < 42°) to 2.99 mm (among patients with kyphosis ≥ 42° rehabilitated solely according to Vojta's method). Conclusions: Neurophysiological rehabilitation of patients with postural defects produced positive effects by improving the angle of thoracic kyphosis, spinal rotation and lateral deviation of the spine. Children with reduced thoracic kyphosis achieved less improvement in the kyphosis angle, lateral spinal deviation and spinal rotation than children with kyphosis ≥ 42°. The DIERS Formetric System enables precise monitoring of therapeutic outcomes.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effect of physiotherapy on spinal alignment in children with postural defects

Zmyślna

Kiebzak

Żurawski

et al. 2019

Int J Occup Med Environ Health

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“…16 Treatment modalities are currently in use, including surgery, bracing, and physiotherapy. 17-20 Surgery, such as balloon kyphoplasty or vertebroplasty, has been recommended for some people with acute, painful VCF, and it can reduce associated kyphosis. 21,22 However, surgery is not indicated for everyone with age-related hyperkyphosis, and there are risks, such as subsequent VCF, associated with kyphoplasty.…”

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confidence: 99%

Exercise for Improving Age-Related Hyperkyphotic Posture: A Systematic Review

Bansal

Katzman

Giangregorio

2014

Archives of Physical Medicine and Rehabilitation

101

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Objective To evaluate previous research to determine if exercise can improve preexisting hyperkyphosis by decreasing the angle of thoracic kyphosis in adults aged ≥45 years. Data Sources PubMed, Embase, and the Cumulative Index to Nursing and Allied Health Literature databases were searched for studies related to posture, exercise, and age ≥45 years. Online conference proceedings of the American Society for Bone and Mineral Research, American Physical Therapy Association, and Gerontological Society of America were also searched. Study Selection Two independent reviewers screened the titles and abstracts and selected studies that tested the effect of exercise on measures of kyphosis, or forward head posture, in individuals with hyperkyphosis at baseline (defined as angle of kyphosis ≥40°). Reviews, letters, notes, and non-English language studies were excluded. Data Extraction A pilot-tested abstraction form was used by each reviewer to extract data from each study regarding details of exercise intervention, participant characteristics, safety, adherence, and results. The Cochrane Collaboration’s tool for assessing risk of bias was used to assess methodologic quality. Discrepancies on the abstraction forms between the 2 reviewers were resolved by a third reviewer. A formal meta-analysis was not performed. Data Synthesis Thirteen studies were abstracted and included in the review; of these, 8 studies saw improvements in ≥1 measure of posture. The main sources of bias were related to blinding participants and incomplete outcome data. The adherence reported across studies suggests that exercise is an acceptable intervention for individuals with age-related hyperkyphosis. Conclusions The scarcity and quality of available data did not permit a pooled estimate of the effect of exercise on hyperkyphotic posture; however, the positive effects observed in high-quality studies suggest some benefit and support the need for an adequately designed randomized controlled trial examining the effect of exercise on hyperkyphosis.

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“…Consequently, these barriers mentioned may account for the low frequency of assessment undertaken objectively by therapists in the clinical settings (Perriman et al, 2012).…”

Section: Importance Of Translation Of Research Into Clinical Practicementioning

confidence: 99%

“…Interestingly, studies demonstrated positive clinical outcomes following thoracic spine manipulation and mobilization in patients with cervical spine dysfunction (Cleland et al, 2007;Lau et al, 2011). However, its objective measurement is rarely undertaken clinically (Perriman et al, 2012), potentially because the assessment devices are timeconsuming, costly and cumbersome and are unable to provide instant feedback. Currently available tools are limited, and there is no present tool that fits the criteria of possessing high levels of both validity and reliability as well as being affordable and clinically useful by providing instant feedback and being easy to use.…”

Section: Introductionmentioning

confidence: 99%

Exploring technology for clinical applications and analysis of factors associated with postural control in older adults with idiopathic neck pain

Quek¹

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Neck pain in older adults is common and has been associated with reduced postural control. However, the mechanisms underlying neck pain-related postural control deficits remain unknown. Unravelling this complex clinical phenomenon is important given the fact that older adults with balance deficits are at risk of falls. Furthermore, falls in older adults may potentially lead to serious consequences and place a burden on public health. This thesis aimed to explore new measurement tools and technique related to cervical spine impairments and postural control that may be potentially useful in research and in the clinical setting, and sought to better understand the mechanisms underpinning neck pain-related postural control deficits in older adults.. Studies 1, 2 and 3 investigated the use of technology, i.e. the smart phone, the Microsoft Kinect and the Nintendo Wii Board to measure cervical range-of-motion, thoracic kyphosis and hallux flexor strength respectively. The results of study 1 showed that the Android phone was valid and reliable in the sagittal and coronal plane but not in the transverse plane. In other words, range-of-motion testing of cervical flexion and extension and lateral flexion were valid and reliable but not rotation in sitting. Study 2 demonstrated Publications during candidature Peer-reviewed papers

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Thoracic Hyperkyphosis: A Survey of Australian Physiotherapists

Abstract: Thoracic hyperkyphosis is commonly encountered by physiotherapists. Measurement of treatment efficacy is highly subjective, and the treatment modalities employed are diverse. Many physiotherapists based their management of hyperkyphosis on their undergraduate education alone.

Cited by 25 publications

References 50 publications

Effect of physiotherapy on spinal alignment in children with postural defects

Effect of physiotherapy on spinal alignment in children with postural defects

Exercise for Improving Age-Related Hyperkyphotic Posture: A Systematic Review

Exploring technology for clinical applications and analysis of factors associated with postural control in older adults with idiopathic neck pain

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